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US7615047B2 - Laser tip incision template for bone surgery - Google Patents

Laser tip incision template for bone surgery Download PDF

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Publication number
US7615047B2
US7615047B2 US10/843,476 US84347604A US7615047B2 US 7615047 B2 US7615047 B2 US 7615047B2 US 84347604 A US84347604 A US 84347604A US 7615047 B2 US7615047 B2 US 7615047B2
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US
United States
Prior art keywords
template
hole
guiding body
jacket
laser
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Active, expires
Application number
US10/843,476
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English (en)
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US20040249370A1 (en
Inventor
Norberto Berna
Vincenzo Crudo
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
BERNA NORBERTO DR
Original Assignee
BERNA NORBERTO DR
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by BERNA NORBERTO DR filed Critical BERNA NORBERTO DR
Publication of US20040249370A1 publication Critical patent/US20040249370A1/en
Assigned to BERNA, NORBERTO, DR. reassignment BERNA, NORBERTO, DR. ASSIGNMENT OF ASSIGNORS INTEREST (SEE DOCUMENT FOR DETAILS). Assignors: CRUDO, VINCENZO, MR.
Priority to US12/569,898 priority Critical patent/US8372061B2/en
Application granted granted Critical
Publication of US7615047B2 publication Critical patent/US7615047B2/en
Priority to US13/763,859 priority patent/US20130150843A1/en
Active legal-status Critical Current
Adjusted expiration legal-status Critical

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C1/00—Dental machines for boring or cutting ; General features of dental machines or apparatus, e.g. hand-piece design
    • A61C1/08—Machine parts specially adapted for dentistry
    • A61C1/082—Positioning or guiding, e.g. of drills
    • A61C1/084—Positioning or guiding, e.g. of drills of implanting tools
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/16—Instruments for performing osteoclasis; Drills or chisels for bones; Trepans
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/18—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • A61B18/20—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C8/00—Means to be fixed to the jaw-bone for consolidating natural teeth or for fixing dental prostheses thereon; Dental implants; Implanting tools
    • A61C8/0089—Implanting tools or instruments
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C1/00—Dental machines for boring or cutting ; General features of dental machines or apparatus, e.g. hand-piece design
    • A61C1/0007—Control devices or systems

Definitions

  • the present invention relates to a shape and depth template for incisions with laser tips, particularly usable in bone surgery.
  • the invention is used particularly but not exclusively for providing osteotomy sites for dental implants.
  • the invention can also be applied in the execution of bone biopsies, the removal of calibrated bone samples for the most disparate uses in orthopedics, et cetera.
  • Scalpels with a laser tip are used for these incisions; the laser tips that are used can be different from one another: for example, the laser light of a laser tip can be conveyed by means of optical fibers or by means of waveguide systems, or by way of mirror systems; the laser of said scalpels may also be of the hydrokinetic type.
  • the aim of the present invention is to provide a shape and depth reference during the incision of biological tissues by means of laser tips.
  • an object of the present invention is to provide a shape and depth template for incisions with laser tips that is particularly usable in bone surgery.
  • Another object of the present invention is to provide a shape and depth template for incisions with laser tips, particularly usable in bone surgery, that allows easy operation on the part of the surgeon.
  • a further object of the present invention is to provide a shape and depth template for incisions with laser tips, particularly usable in bone surgery, that allows to provide osteotomy sites of extreme precision, which comply with the physiology of the affected region.
  • a still further object of the present invention is to provide a shape and depth template for incisions with laser tips, particularly usable in bone surgery, that allows to have a certain elasticity in choosing the shapes and dimensions of the sites to be provided.
  • Another object of the present invention is to provide a shape and depth template for incisions with laser tips, particularly usable in bone surgery, that can be produced with known systems and technologies.
  • a shape and depth template for incisions with laser tips that is particularly usable in bone surgery, characterized in that it comprises a guiding body for a laser tip that is delimited by two mutually opposite end faces arranged at a preset distance and by a lateral surface, one of said end faces being designed to be arranged at the region where incision with the laser tip is to be performed, said guiding body having a hole that has a preset shape and passes through it from one end face to the other.
  • FIG. 1 is a sectional front view of a template according to the invention, applied to a gingival bone, illustrating a laser scalpel during incision;
  • FIG. 2 is an exploded perspective view of a template according to the invention.
  • FIG. 3 is a sectional front view of a template according to the invention in an alternative embodiment with respect to the shape of FIG. 1 ;
  • FIG. 4 is a plan view of the template of FIG. 3 ;
  • FIGS. 5 to 10 are five plan views of a corresponding number of alternative embodiments of the template according to the invention.
  • a shape and depth template for incisions with laser tips that is particularly usable in bone surgery according to the invention is generally designated by the reference numeral 10 .
  • the template 10 comprises a guiding body 11 for a laser tip (of preset length), designated by the reference numeral 12 in FIG. 1 .
  • the guiding body 11 is formed by two mutually opposite end faces 13 , which are arranged at a standardized preset distance from each other, as will become better apparent hereinafter, and by a lateral surface 14 .
  • One of the end faces 13 is to be arranged at a region 15 where incision with the laser tip 12 is to be performed.
  • FIG. 1 illustrates a gingival bone 16 to which the template 10 according to the invention, useful for providing an osteotomy site for dental implants, is applied.
  • the lateral surface 14 of the guiding body 11 has a substantially cylindrical shape.
  • the guiding body 11 has a hole 17 that has a preset shape and passes through it from one end face to the other.
  • the hole 17 which is coaxial to the cylindrical extension of the entire guiding body 11 , has a circular cross-section.
  • the hole 17 has a cross-section that is respectively triangular, elliptical, figure-of-eight (two-lobe), square, rectangular, semicircular, in all of which any corners are radiused.
  • the hole 17 further has, depending on the type of use, a straight wall shape (see FIG. 1 ), or a shape that tapers from the outside toward said incision region (which corresponds to the bone to be cut), as shown in FIGS. 3 and 4 ; in this last case, the hole 17 having a circular cross-section has a substantially conical shape, preferably a straight conical shape.
  • the template 10 also comprises a jacket 20 that acts as a reference for the guiding body 11 and is designed to be rigidly fixed, by way of a supporting structure 21 , at the incision region 15 .
  • the jacket 20 has a through hole 22 that is formed by an internal surface 23 that is shaped complementarily to the lateral surface 14 of the guiding body 11 and is therefore cylindrical.
  • the jacket 20 has an outer surface 24 that has a substantially cylindrical shape.
  • a first annular groove 25 to allow the jacket 20 to grip a supporting matrix 26 provided on the supporting structure 21 arranged in the incision region 15 .
  • a second annular groove 27 is formed at an outer region of the lateral surface 14 of the guiding body 11 to allow to grip the supporting matrix if the guiding body 11 is applied without the jacket 20 , as explained hereinafter.
  • an impression tray of the dental arch is performed.
  • the supporting structure 21 for the template 20 is provided by using the spatial references of said impression tray; said template is therefore positioned in the correct location for providing the site.
  • a matrix of resin 26 is arranged on the supporting structure 21 and stably locks the template 20 in position.
  • the jacket 20 is embedded in the matrix 26 .
  • the guiding body 11 is inserted in the hole of the jacket so as to rest one end face of the guiding body on the bone to be cut.
  • the laser tip 12 which protrudes from the laser head 12 a of a laser scalpel, is inserted in the hole 17 .
  • the laser tip 12 must follow the internal surface of the hole 17 so as to provide the contour of the site.
  • the depth of the site is ensured by the fact that the height of the guiding body 11 is known and so is the length of the laser tip; at the most, the laser head can rest against the edge of the guiding body, thus ensuring the chosen depth of incision.
  • guiding bodies having different heights and optional internal tapers are provided according to a series of predefined sizes.
  • the laser tip may also be adjusted in order to assume certain preset lengths, thus increasing the adjustment of the incision depth.
  • Having a through hole with an internal taper on the guiding body allows to provide conical sites.
  • the figure-of-eight shape is typical of the implantation of a molar
  • the triangular shape is typical of a canine
  • the ellipsoidal shape is typical of a premolar, and so forth; in this manner, it is possible to provide sites that comply with the original anatomy of the affected region.
  • the use of said template may be the most disparate, from the above described provision of osteotomy sites for dental implants to the calibrated removal of bone portions in various parts of the body for the most disparate reasons, biopsies, removal of material to be used in other regions, et cetera.
  • the present invention provides a shape and depth template for incisions with laser tips, particularly usable in bone surgery, that allows to provide osteotomy sites and bone samples having precise shapes and dimensions.
  • the materials used may be any according to requirements and to the state of the art.

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgery (AREA)
  • Dentistry (AREA)
  • Epidemiology (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Physics & Mathematics (AREA)
  • Optics & Photonics (AREA)
  • Electromagnetism (AREA)
  • Otolaryngology (AREA)
  • Laser Surgery Devices (AREA)
  • Surgical Instruments (AREA)
  • Dental Tools And Instruments Or Auxiliary Dental Instruments (AREA)
US10/843,476 2003-05-15 2004-05-12 Laser tip incision template for bone surgery Active 2027-09-12 US7615047B2 (en)

Priority Applications (2)

Application Number Priority Date Filing Date Title
US12/569,898 US8372061B2 (en) 2003-05-15 2009-09-29 Treatment tip incision template
US13/763,859 US20130150843A1 (en) 2003-05-15 2013-02-11 Treatment tip incision template

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
ITPD2003A000102 2003-05-15
IT000102A ITPD20030102A1 (it) 2003-05-15 2003-05-15 Dima di forma e profondita' per incisioni con punte laser

Related Child Applications (1)

Application Number Title Priority Date Filing Date
US12/569,898 Continuation-In-Part US8372061B2 (en) 2003-05-15 2009-09-29 Treatment tip incision template

Publications (2)

Publication Number Publication Date
US20040249370A1 US20040249370A1 (en) 2004-12-09
US7615047B2 true US7615047B2 (en) 2009-11-10

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Family Applications (1)

Application Number Title Priority Date Filing Date
US10/843,476 Active 2027-09-12 US7615047B2 (en) 2003-05-15 2004-05-12 Laser tip incision template for bone surgery

Country Status (7)

Country Link
US (1) US7615047B2 (es)
EP (1) EP1477126B1 (es)
AT (1) ATE502591T1 (es)
DE (1) DE602004031902D1 (es)
ES (1) ES2363067T3 (es)
IT (1) ITPD20030102A1 (es)
SI (1) SI1477126T1 (es)

Cited By (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20100082032A1 (en) * 2003-05-15 2010-04-01 Norberto Berna Treatment tip incision template
US20110104632A1 (en) * 2009-05-11 2011-05-05 Colby Leigh E Therapeutic tooth ablation
US20110111364A1 (en) * 2009-11-11 2011-05-12 Jerome Haber Computer-aided design of a drill guide with a window
US9855112B2 (en) 2013-03-15 2018-01-02 Triagenics, Llc Therapeutic tooth bud ablation
US10022202B2 (en) 2013-03-15 2018-07-17 Triagenics, Llc Therapeutic tooth bud ablation
US10298255B2 (en) 2013-03-15 2019-05-21 TriAgenics, Inc. Therapeutic tooth bud ablation
US11583337B2 (en) 2019-06-06 2023-02-21 TriAgenics, Inc. Ablation probe systems

Families Citing this family (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN101505689B (zh) * 2006-08-22 2012-08-29 三菱电机株式会社 激光加工装置、植入材料以及植入材料制造装置
DE602007009518D1 (de) * 2007-07-28 2010-11-11 Fotona D D Lasersystem zur medizinischen Entfernung von Körpergewebe
TWM391946U (en) * 2010-07-07 2010-11-11 xie-xing Lin Drilling reference rod used for dental implantation
CN114063556B (zh) * 2020-08-06 2024-01-19 大族激光科技产业集团股份有限公司 激光切割的拐角自适应倒圆角方法

Citations (14)

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US3297022A (en) * 1963-09-27 1967-01-10 American Cystoscope Makers Inc Endoscope
US4170997A (en) * 1977-08-26 1979-10-16 Hughes Aircraft Company Medical laser instrument for transmitting infrared laser energy to a selected part of the body
US4367729A (en) * 1979-10-22 1983-01-11 Olympus Optical Co. Ltd. Endoscope provided with an elongate medical treating instrument utilizing laser beams
US4438773A (en) * 1982-03-15 1984-03-27 Paul L. Sweeney, Jr. Subarachnoid bolt
USD342136S (en) * 1991-11-01 1993-12-07 Citation Medical Corporation Disposable arthroscope
US5527182A (en) * 1993-12-23 1996-06-18 Adt Advanced Dental Technologies, Ltd. Implant abutment systems, devices, and techniques
US5647840A (en) * 1994-09-14 1997-07-15 Circon Corporation Endoscope having a distally heated distal lens
US5718664A (en) * 1994-03-24 1998-02-17 United States Surgical Corporation Light guide connection port for a disposable arthroscope
US5833701A (en) * 1994-09-12 1998-11-10 Medjet, Inc. Procedure and device for corrective and therapeutic eye treatment
US5990382A (en) * 1990-08-29 1999-11-23 Biomedical Enterprises, Inc. Method and implant for surgical manipulation of bone
US6210355B1 (en) 1996-02-23 2001-04-03 Somnus Medical Technologies, Inc. Cell necrosis apparatus
US6267769B1 (en) 1997-05-15 2001-07-31 Regents Of The Universitiy Of Minnesota Trajectory guide method and apparatus for use in magnetic resonance and computerized tomographic scanners
US20010014771A1 (en) 1998-10-08 2001-08-16 Regents Of The University Of Minnesota Method and apparatus for positioning a device in a body
US6342053B1 (en) * 1990-07-23 2002-01-29 Laser Biotech, Inc. Apparatus for cornea reshaping

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Patent Citations (14)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3297022A (en) * 1963-09-27 1967-01-10 American Cystoscope Makers Inc Endoscope
US4170997A (en) * 1977-08-26 1979-10-16 Hughes Aircraft Company Medical laser instrument for transmitting infrared laser energy to a selected part of the body
US4367729A (en) * 1979-10-22 1983-01-11 Olympus Optical Co. Ltd. Endoscope provided with an elongate medical treating instrument utilizing laser beams
US4438773A (en) * 1982-03-15 1984-03-27 Paul L. Sweeney, Jr. Subarachnoid bolt
US6342053B1 (en) * 1990-07-23 2002-01-29 Laser Biotech, Inc. Apparatus for cornea reshaping
US5990382A (en) * 1990-08-29 1999-11-23 Biomedical Enterprises, Inc. Method and implant for surgical manipulation of bone
USD342136S (en) * 1991-11-01 1993-12-07 Citation Medical Corporation Disposable arthroscope
US5527182A (en) * 1993-12-23 1996-06-18 Adt Advanced Dental Technologies, Ltd. Implant abutment systems, devices, and techniques
US5718664A (en) * 1994-03-24 1998-02-17 United States Surgical Corporation Light guide connection port for a disposable arthroscope
US5833701A (en) * 1994-09-12 1998-11-10 Medjet, Inc. Procedure and device for corrective and therapeutic eye treatment
US5647840A (en) * 1994-09-14 1997-07-15 Circon Corporation Endoscope having a distally heated distal lens
US6210355B1 (en) 1996-02-23 2001-04-03 Somnus Medical Technologies, Inc. Cell necrosis apparatus
US6267769B1 (en) 1997-05-15 2001-07-31 Regents Of The Universitiy Of Minnesota Trajectory guide method and apparatus for use in magnetic resonance and computerized tomographic scanners
US20010014771A1 (en) 1998-10-08 2001-08-16 Regents Of The University Of Minnesota Method and apparatus for positioning a device in a body

Cited By (29)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8372061B2 (en) * 2003-05-15 2013-02-12 Noberto Berna Treatment tip incision template
US20100082032A1 (en) * 2003-05-15 2010-04-01 Norberto Berna Treatment tip incision template
US10820963B2 (en) * 2009-05-11 2020-11-03 TriAgenics, Inc. Therapeutic tooth bud ablation
US9827068B2 (en) * 2009-05-11 2017-11-28 Triagenics, Llc Therapeutic tooth bud ablation
US12076198B2 (en) 2009-05-11 2024-09-03 TriAgenics, Inc. Therapeutic tooth bud ablation
US10265140B2 (en) 2009-05-11 2019-04-23 TriAgenics, Inc. Therapeutic tooth bud ablation
US20110104632A1 (en) * 2009-05-11 2011-05-05 Colby Leigh E Therapeutic tooth ablation
US20110200961A1 (en) * 2009-05-11 2011-08-18 Colby Leigh E Therapeutic tooth bud ablation
US10335248B2 (en) 2009-05-11 2019-07-02 TriAgenics, Inc. Therapeutic tooth bud ablation
US10299885B2 (en) 2009-05-11 2019-05-28 TriAgenics, Inc. Therapeutic tooth bud ablation
US10285778B2 (en) 2009-05-11 2019-05-14 TriAgenics, Inc. Therapeutic tooth bud ablation
US9402693B2 (en) 2009-05-11 2016-08-02 Triagenics, Llc Therapeutic tooth bud ablation
US8764440B2 (en) 2009-11-11 2014-07-01 Guided Surgery Solutions, Llc Method for realizing an axial trajectory in a surgical drilling process
US20110111364A1 (en) * 2009-11-11 2011-05-12 Jerome Haber Computer-aided design of a drill guide with a window
US20110112544A1 (en) * 2009-11-11 2011-05-12 Jerome Haber Surgical guide with tapered holes
US20110111363A1 (en) * 2009-11-11 2011-05-12 Jerome Haber Method for realizing an axial trajectory in a surgical drilling process
US20110111371A1 (en) * 2009-11-11 2011-05-12 Jerome Haber Computer-aided design of a thin-layer drill guide
US8794964B2 (en) 2009-11-11 2014-08-05 Guided Surgery Solutions, Llc Computer-aided design of a drill guide with a window
US20110111362A1 (en) * 2009-11-11 2011-05-12 Jerome Haber Surgical guides
US10298255B2 (en) 2013-03-15 2019-05-21 TriAgenics, Inc. Therapeutic tooth bud ablation
US10765490B2 (en) 2013-03-15 2020-09-08 TriAgenics, Inc. Therapeutic tooth bud ablation
US10022202B2 (en) 2013-03-15 2018-07-17 Triagenics, Llc Therapeutic tooth bud ablation
US11173012B2 (en) 2013-03-15 2021-11-16 TriAgenics, Inc. Therapeutic tooth bud ablation
US11399915B2 (en) 2013-03-15 2022-08-02 TriAgenics, Inc. Therapeutic tooth bud ablation
US11730564B2 (en) 2013-03-15 2023-08-22 TriAgenics, Inc. Therapeutic tooth bud ablation
US9855112B2 (en) 2013-03-15 2018-01-02 Triagenics, Llc Therapeutic tooth bud ablation
US11864961B2 (en) 2013-03-15 2024-01-09 TriAgenics, Inc. Therapeutic tooth bud ablation
US12336872B2 (en) 2013-03-15 2025-06-24 TriAgenics, Inc. Therapeutic tooth bud ablation
US11583337B2 (en) 2019-06-06 2023-02-21 TriAgenics, Inc. Ablation probe systems

Also Published As

Publication number Publication date
ATE502591T1 (de) 2011-04-15
EP1477126A1 (en) 2004-11-17
ITPD20030102A1 (it) 2004-11-16
US20040249370A1 (en) 2004-12-09
ES2363067T3 (es) 2011-07-19
DE602004031902D1 (de) 2011-05-05
SI1477126T1 (sl) 2011-08-31
EP1477126B1 (en) 2011-03-23

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